FAYDIM RASSAMDANA
NPI 1457778912
Optometrist in Pasadena, CA
About Faydim Rassamdana NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAYDIM RASSAMDANA (NPI 1457778912) is an individual optometrist in Pasadena, California, licensed in California (14954TLG) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Faydim Rassamdana is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Faydim Rassamdana reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rosemead, CA 91770
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Faydim Rassamdana's NPI number?
The NPI number for Faydim Rassamdana is 1457778912. It was assigned to this individual provider in the NPPES registry on March 23, 2014.
Where is Faydim Rassamdana located?
Faydim Rassamdana practices at 1250 Riviera Dr, Pasadena, CA 91107. The listed phone number is (626) 353-3893.
What is Faydim Rassamdana's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Faydim Rassamdana enrolled in Medicare?
Yes. Faydim Rassamdana is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Faydim Rassamdana's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Faydim Rassamdana reassigns Medicare benefits to Southern California Permanente Medical Group (Rosemead, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Faydim Rassamdana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Faydim Rassamdana was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Faydim Rassamdana · NPI 1457778912
Optometrist provider in Pasadena, California. Individual provider, active in the CMS NPPES registry since March 23, 2014.
## Identity
- **NPI:** 1457778912 (Entity type: Individual)
- **Enumerated:** March 23, 2014
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 14954TLG (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1250 RIVIERA DR, Pasadena, CA 91107-1632
- **Phone:** (626) 353-3893
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1942787114, Rosemead, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** November 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1457778912) · Data from the CMS NPPES public registry.